As a practicing member of the medical/pharmaceutical/insurance complex (I am a clinical psychologist and routinely bill insurance companies for client care), I cringe when I hear about healthcare ...

Artificial intelligence and algorithms are a part of many businesses these days, including health insurance. It's a conversation that's resurfaced since the killing of UnitedHealthcare CEO Brian ...

Forbes contributors publish independent expert analyses and insights. I delve into the intricate workings of artificial intelligence. When an individual files a medical insurance claim, they expect ...

The medical billing process can be frustrating. Converting your patient notes to numbered claims can introduce human error and insurers can be strict about how claims ...

In the realm of healthcare, the symbiotic relationship between healthcare providers and insurance companies is intricately woven with the threads of claims processing and payment integrity. Navigating ...

March 22 (Reuters) - UnitedHealth Group (UNH.N), opens new tab said on Friday its Change Healthcare unit will start to process the medical claims backlog of more than $14 billion as it resumes some ...

When a health insurance company is deciding whether to pay for your medical treatment, the company generates a file around your claim. All the records associated with your case should be part of your ...

SPRINGFIELD, Ill. (WAND) — Many people have either received a health insurance claim denial or know someone impacted by the setback. An Illinois advocacy group is spreading awareness about how ...

GREENSBORO, N.C. — Don't rush to pay out of pocket if your health insurance denies a test, treatment, or medication your doctor says you need. Consumer Reports says you have a guaranteed right to ...

As states strive to curb health insurers' use of artificial intelligence, patients and doctors are arming themselves with AI tools to fight claims denials, prior authorizations and soaring medical ...